Provider Demographics
NPI:1659711943
Name:WHITSON, DEBORAH DS (DO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DS
Last Name:WHITSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3501 ARROWHEAD DR OFC 317
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-6056
Mailing Address - Country:US
Mailing Address - Phone:575-674-2359
Mailing Address - Fax:575-674-2309
Practice Address - Street 1:3501 ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-6056
Practice Address - Country:US
Practice Address - Phone:575-674-2359
Practice Address - Fax:575-674-2309
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-2254-19204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM